自从1979年朱尔梅等提出老年肺结核问题,许多学者陆续发表了有关这个问题的文章,但是,绝大多数文章是从住院病人中老年组的比例,提出老年结核病问题,并且偏重于临床分析。本文试图从流行病学观点探讨老年结核病问题。结核病流行中老年组高峰的形成一些西方发达国家在上世纪未和本世纪初结核病流行还很严重,结核病死亡率很高时,年度结核病年龄组死亡专率曲线上的第1个高峰为0～4岁组,5～ Since 1979, Jurmei et al. Put forward the issue of senile pulmonary tuberculosis, many scholars have published articles on this issue one after another. However, the vast majority of articles raise the issue of senile tuberculosis from the proportion of inpatients in the elderly group, and attach more importance to clinical analysis. This article attempts to explore the issue of tuberculosis in the elderly from an epidemiological point of view. Tuberculosis epidemic middle-aged group peak formation Some developed western countries in the last century and the beginning of this century is still very serious tuberculosis, tuberculosis mortality is very high, the annual peak age of the mortality rate curve of the first peak of 0 ~ 4-year-old group, 5 ~